Individual
OLGA V KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6012
(864) 560-6013
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23398
SC
363LF0000X
Family Nurse Practitioner
336329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6368
—
SC
01
—
SCG5965019
MEDICARE PIN
SC
Enumeration date
07/07/2010
Last updated
02/01/2021
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